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Billing code C9143 · Pharmacy

C9143 Medicaid reimbursement rate by state (2026)

Cocaine hydrochloride nasal solution (numbrino), 1 mg. Medicaid pays a median of $2.02 for C9143 across 7 states, from $1.36 in New Jersey to $90.00 in Indiana.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$2.02units vary by state
Lowest
$1.36New Jersey
Highest
$90.00Indiana
Answer

What does Medicaid pay for C9143?

7 state Medicaid programs publish a fee-for-service rate for C9143. The national median is $2.02 (units differ between states). Indiana pays the most, $90.00 per percent of billed charges, and New Jersey the least, $1.36, a 66.2x spread.

State ranking

C9143 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2023-01-01$90.00percent of billed charges—Plans must pay at least this—
2California Source · since 2025-04-01$2.36——Plans negotiate; applies out of network—
3Mississippi Source · since 2025-07-01$2.36——Plans must pay at least this—
7New Jersey Source · since 2025-01-01$1.36——Not classified—
See all 7 states for C9143 — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track C9143 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for C9143?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $2.02. Indiana pays the most ($90.00 per percent of billed charges) and New Jersey the least ($1.36).

Which state pays the highest Medicaid rate for C9143?

Indiana, at $90.00 per percent of billed charges, effective 2023-01-01.

Do managed-care plans pay the same rate for C9143?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.